Adherence to antiviral treatment among people living with chronic hepatitis B: A global survey

Table 2 Treatment adherence indices

Affordability (alpha: 0.80)	Cost of blood tests and ultrasounds
	Cost of doctor visits every 6 months
	Cost of medication to control my hepatitis B
	Lack of health insurance or a prescription plan
Service Acceptability (alpha: 0.71)	Finding a doctor who knows how to manage my hepatitis B
	Going for medical check-ups every 6 months
	Individual functioning (physical, psychological, emotional)
Physical (alpha: 0.72)	I feel tired a lot (for example, more tired than other people I know)
	I feel less productive
	Because of my hepatitis B, managing fatigue is a challenge
Psychological (alpha: 0.83)	I worry that my relationships with family and friends are negatively affected
	I worry that my ability to do my job is negatively affected
	I worry that I will transmit the virus to someone else
	I fear that I will face discrimination (for example, lose my job or not get accepted into a school)
	I fear that I could develop liver cancer
	I fear that I will live a shorter life
Emotional (alpha: 0.74)	I feel shame
	I feel like avoiding others
	I feel that others avoid me
	I feel life is less enjoyable
	Not wanting to take a pill every day because it reminds me of my chronic condition